NCLEX-PN
Pharmacological and Parenteral Therapies NCLEX Questions
Extract:
Question 1 of 5
When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:
Correct Answer: A
Rationale: HIV mutates very rapidly, and any interruption of therapy can allow viral resistance to emerge - even taking a dose late.
Choice B is incorrect because, when the virus is kept in check with anti-retrovirals, the client's own immune system is able to keep opportunistic infections at bay.
Choices C and D are incorrect because therapy should not be interrupted for any reason. If the client develops toxicity, another anti-retroviral drug might be prescribed.
Question 2 of 5
Clients who take iron preparations should be warned of the possible side effects, which might include:
Correct Answer: B
Rationale: Iron supplements commonly cause gastrointestinal side effects like nausea, vomiting, diarrhea, constipation, and stomach cramps, requiring client education.
Question 3 of 5
What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36 mmHg, and HCO3 24 mEq/L?
Correct Answer: B
Rationale: These ABG values are within normal limits.
Choices A, C, and D are incorrect because the ABG values indicate none of these acid-base disturbances.
Question 4 of 5
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
Correct Answer: C
Rationale: Obesity is defined by a BMI of 30 or more with no co-morbid conditions. It is calculated by utilizing a chart or nomogram that plots height and weight. This client's BMI is 35, indicating obesity. Goals of diet therapy are aimed at decreasing weight and increasing activity to healthy levels based on a client's BMI, activity status, and energy requirements.
Question 5 of 5
A client newly diagnosed with Diabetes Mellitus needs education. Which of the following statements should the nurse include in this education?
Correct Answer: C
Rationale: A balanced diet and exercise program are essential for managing diabetes, promoting glycemic control and overall health without extreme restrictions.